CareSentinel

Compiled from official CMS federal data

WI VETERANS HOME-BOLAND HALL, UNION GROVE, WI — Violations & Inspection Reports

CCN 525688 · 21425 E SPRING ST, UNION GROVE, WI, 53182

Record as of Jun 2026 · Updated monthly from CMS

Does WI VETERANS HOME-BOLAND HALL have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), WI VETERANS HOME-BOLAND HALL (CCN 525688), in UNION GROVE, WI, has federal inspection findings. CMS currently displays its federal abuse icon for this facility — a flag CMS assigns under its own published methodology for abuse-related citations (deficiency tag F600 and related). CMS also lists the facility as a candidate for its Special Focus Facility program; a candidate is not on the active watch list.

In its current inspection cycle, CMS cited the facility for 23 deficiencies; the most severe is rated K, which CMS classifies as Immediate Jeopardy — its most serious level, for noncompliance it found likely to cause serious harm or death. Earlier-cycle citations appear in the dated timeline below as historical, not current. CMS has $386,235 in civil money penalties on file against the facility. This page restates the federal record and draws no conclusion of its own.

Abuse-, fall-, and care-related findings on the federal record

  • 14 citations in CMS's "Freedom from Abuse, Neglect, and Exploitation" family (F600-series) — most recent Dec 2025.
  • 7 citations for accident hazards or inadequate supervision (F689) — the deficiency family behind fall-related findings; most recent Dec 2025.
  • 2 pressure-ulcer care citations (F686) — the consumer term is "bedsores"; most recent Jan 2025.
  • 1 nutrition and hydration citation (F692) — the consumer terms are "malnutrition" and "dehydration"; most recent Jan 2025.
  • 32 findings on file from complaint-triggered inspections.

Every figure above restates CMS’s own dated record; this page draws no conclusion of its own. Strict state filing deadlines can apply to nursing-home injury claims — a licensed attorney in your state can review this record.

FOR FAMILIES

What brings you to this record?

The Federal Record

CMS displays its federal abuse icon on this facility's official record.

Below is this facility's federal inspection record as on file with CMS.

Federal Abuse Icon

Federal abuse icon on file

CMS displays this icon for facilities it has cited for resident abuse under its own published methodology — the government's own flag, restated here.

F600 — Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

SFF Candidate

A candidate for the federal Special Focus Facility watch list

CMS lists this facility as a candidate for the Special Focus Facility program. It is not on the active watch list.

Scope & Severity — current cycle

ANo Harm
BNo Harm
CNo Harm
DPotential
EPotential
FPotential
GActual Harm
HActual Harm
IActual Harm
JImm. Jeopardy
KImm. Jeopardy
LImm. Jeopardy

CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations.

Civil money penalties on file

$386,235

CMS also records 171 days of payment denial.

Have a lawyer review this record →

About this record: Federal nursing-home surveys are conducted on a recurring cycle by state survey agencies acting on CMS's behalf, and the figures on this page are compiled from CMS's published provider data, as on file with CMS; the federal record may understate what actually occurred, and inspection findings are point-in-time survey results, not a determination that any specific resident was harmed.

Deficiency timeline

How to read these codes ↓

Citations are listed by scope/severity (most severe first), not chronologically; each entry is labeled current-cycle or historical.

2025-10-01
CURRENT CYCLE
F689S/S K

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2025-10-01
CURRENT CYCLE
F675S/S K

Honor each resident's preferences, choices, values and beliefs.

2025-10-01
CURRENT CYCLE
F600S/S J

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

43 more citations on file — Abuse & neglect 13 · Accidents & supervision 6 · Pressure ulcers 2 · Nutrition & hydration 1 · Medication & pharmacy 3 · Resident rights 4 · Other citations 14 (expand)
2025-12-03
CURRENT CYCLE
F585S/S D

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

2025-12-03
CURRENT CYCLE
F684S/S D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2025-12-03
CURRENT CYCLE
F609S/S D

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

2025-12-03
CURRENT CYCLE
F689S/S D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2025-12-03
CURRENT CYCLE
F755S/S D

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

2025-10-01
CURRENT CYCLE
F745S/S J

Provide medically-related social services to help each resident achieve the highest possible quality of life.

2025-10-01
CURRENT CYCLE
F944S/S F

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

2025-10-01
CURRENT CYCLE
F941S/S F

Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

2025-10-01
CURRENT CYCLE
F610S/S E

Respond appropriately to all alleged violations.

2025-10-01
CURRENT CYCLE
F627S/S D

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

2025-10-01
CURRENT CYCLE
F685S/S D

Assist a resident in gaining access to vision and hearing services.

2025-10-01
CURRENT CYCLE
F580S/S D

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

2025-06-12
CURRENT CYCLE
F600S/S J

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2025-06-12
CURRENT CYCLE
F742S/S G

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

2025-05-13
HISTORICAL
F689S/S E

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2025-03-26
HISTORICAL
F689S/S J

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2025-03-26
HISTORICAL
F745S/S G

Provide medically-related social services to help each resident achieve the highest possible quality of life.

2025-03-26
HISTORICAL
F580S/S D

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

2025-03-26
HISTORICAL
F585S/S D

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

2025-03-26
HISTORICAL
F609S/S D

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

2025-03-26
HISTORICAL
F610S/S D

Respond appropriately to all alleged violations.

2025-03-26
HISTORICAL
F730S/S D

Observe each nurse aide's job performance and give regular training.

2025-01-09
HISTORICAL
F610S/S D

Respond appropriately to all alleged violations.

2025-01-09
CURRENT CYCLE
F686S/S D

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

2025-01-09
CURRENT CYCLE
F644S/S D

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

2025-01-09
CURRENT CYCLE
F692S/S D

Provide enough food/fluids to maintain a resident's health.

2025-01-09
CURRENT CYCLE
F689S/S D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2025-01-09
CURRENT CYCLE
F609S/S D

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

2025-01-09
CURRENT CYCLE
F868S/S C

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

2024-08-08
HISTORICAL
F610S/S E

Respond appropriately to all alleged violations.

2024-08-08
HISTORICAL
F609S/S E

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

2024-08-08
HISTORICAL
F812S/S E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2023-10-16
HISTORICAL
F686S/S G

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

2023-10-16
HISTORICAL
F689S/S D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2023-10-16
HISTORICAL
F610S/S D

Respond appropriately to all alleged violations.

2023-10-16
HISTORICAL
F690S/S D

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

2023-10-16
HISTORICAL
F609S/S D

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

2022-08-23
HISTORICAL
F947S/S F

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

2022-08-23
HISTORICAL
F689S/S D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2022-08-23
HISTORICAL
F758S/S D

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

2022-08-23
HISTORICAL
F756S/S D

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

2022-08-23
HISTORICAL
F609S/S D

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

2022-08-23
HISTORICAL
F610S/S D

Respond appropriately to all alleged violations.

Overall CMS star rating

This facility: 1  ·  CMS state average: 3.0

Both figures as published by CMS.

You may be reading this record for the first time.

If something happened to someone you love at this facility, this federal record may be new to you today. The company that operates a nursing home, by contrast, is rarely seeing records like this for the first time — operators like these typically retain standing legal, risk, and insurance teams whose routine work includes records exactly like the one on this page. That is not a judgment of this facility; it is how the business is structured. Because strict time limits can apply, families often find it helps to have a qualified person review the record with them sooner rather than later.

Your federal record — tap to preview

Federal record

WI VETERANS HOME-BOLAND HALL — Federal Record

CMS overall 1/5 · 23 current-cycle deficiencies · CMS abuse icon listed


Section 7 — Case Context

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SECTION 7 — CASE CONTEXT

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What happened

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If you believe a resident is in immediate danger, call 911. Care concerns can also be reported at no cost to your state survey agency or the Long-Term Care Ombudsman program (ltcombudsman.org) — independent of any legal inquiry.

How to read this record

Making sense of a CMS inspection record

CMS scores every citation on a grid from A to L, combining how widespread a finding was with how serious it was. A–C is a deficiency CMS classifies as no harm; D–F as the potential for harm; G–I as actual harm that reached a resident; and J–L as immediate jeopardy, CMS’s most serious level. Later letters mark more serious findings.

Three questions to ask on a tour

  • How is the home staffed on nights, weekends, and holidays?
  • What happens when a resident’s condition changes suddenly?
  • How, and how quickly, are families told about an incident?

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